Utilization Management Coordinator

## UM Administration CoordinatorApplylocations: Schaumburg, IL: Palatine, IL: North Chicago, IL: Naperville, IL: Arlington Heights, ILtime type: Full timeposted on: Posted Todayjob requisition id: R-426346# **Become a part of our caring community**Humana Gold Plus Integrated is looking for UM Administration Coordinators to support both its Health Choice and MLTSS programs. In this position, you will help create authorizations, and work within defined parameters to identify expectations and quality standards but have some latitude over prioritization and timing. You will report to the Supervisor, UM Administration.As a UM Administration Coordinator, you will contribute to the administration of care management by providing non-clinical support to help in the assessment and evaluation of members' needs. Tasks include administrative, operational, and customer support assignments.**This is a hybrid home position, requiring work in our Schaumburg, Illinois office 1 day per month. Work hours will be Monday-Friday 8am-5pm CST with flexible scheduling (occasional nights and weekends).**# **Use your skills to make an impact****Required Qualifications*** **Must reside in the Greater Chicago area/suburban Cook or nearby surrounding counties in the State of Illinois.*** 2+ years of administrative support experience in the healthcare industry.* 1+ years of customer service experience.* Prior billing/claims or authorization experience.**Preferred Qualifications*** Associates degree or higher* Experience with Medicaid, Long-term Care, or Medicare members* Proficient using electronic medical record and documentation programs* Experience with medical terminology and ICD-10 codes* Experience with Utilization Review and Prior Authorization within a managed care organization**Scheduled Weekly Hours**40**Pay Range**The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$44,000 - $57,500 per year**Description of Benefits**Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. #J-18808-Ljbffr